SimplePractice Community

Average payer enrollment approval times

Daren

April 16, 2019 17:46

Some payers (i.e., Medicare, Medicaid, Blue Cross, Blue Shield) require providers to enroll before the provider can submit electronic claims and receive electronic payment reports from them. Processing time for these enrollments vary by payer and can take anywhere from 2 weeks to over 2 months.

The table below contains estimates (in weeks) for how long you can expect to wait for an enrollment to be approved. Although the data are based on actual enrollments, we cannot guarantee that your enrollment will approved in the same amount of time because it's up to the payers to approve enrollments.

Note: Until an enrollment has been accepted, we recommend that you continue to submit paper claims. Until your payment report enrollment has been accepted, we recommend that you continue to manually record your insurance payments. (This article explains how to manually add an insurance payment.)

Tips to expedite the process

If you hear from the payer, let us know

Some payers will notify you, the provider, that an enrollment has been accepted, but they won't notify the clearinghouse. If you receive confirmation from a payer that your enrollment has been approved, please do the following:

If you get an email, get a screenshot of the email and share it with our support team.

If you receive a letter, take a photo of the entire letter and share it with our support team.